Cash Posting Specialist

Serenity Estates; Charleston (IL); On-site; USD 45,000 - 65,000; Full time

Job summary

Serenity Estates in Charleston, Illinois is seeking a meticulous Cash Posting Specialist to ensure precise and timely application of payments. The role focuses on AR accuracy and improving collections performance within skilled nursing payment workflows.

You will post payments (Medicare, Medicaid, managed care, private pay), reconcile remittances, and support month-end close while maintaining audit-ready documentation. PCC experience is preferred for postings.

Qualifications

• Demonstrated ability to post cash payments accurately and timely.
• Strong attention to detail and accuracy in AR posting.
• Ability to handle high-volume cash posting in healthcare settings.
• Experience with remittance processing and EOB/ERA reconciliation is preferred.

Responsibilities

• Post all payments (Medicare, Medicaid, managed care, private pay) accurately.
• Ensure daily posting of cash, checks, EFTs, and lockbox payments.
• Reconcile payments to remittance advice (EOBs/ERAs).
• Identify and resolve discrepancies between payments and billed amounts.
• Maintain clean AR balances and correct service dates on postings.
• Post contractual adjustments and flag underpayments/denials for follow-up.
• Support month-end close and AR reporting; provide trend insights.

Skills

Detail-oriented

Attention to detail

High-volume work

Process accuracy

Tools

PointClickCare (PCC)

Job description

Cash Posting Specialist

Location: Charleston, Illinois (on-site)
Reports To: Billing Director

About the Opportunity

The Cash Posting Specialist plays a critical role in ensuring all payments are accurately and timely applied, directly impacting AR accuracy and overall collections performance. This individual must be detail-oriented, efficient, and experienced in skilled nursing payment workflows.

Key Responsibilities

Payment Posting

• Accurately post all payments, including Medicare, Medicaid, managed care, and private pay

• Ensure daily posting of cash, checks, EFTs, and lockbox payments

• Reconcile payments to remittance advice (EOBs/ERAs)

Accuracy & Reconciliation

• Identify and resolve discrepancies between payments and billed amounts

• Ensure all payments are applied to the correct accounts and service dates

• Maintain clean and accurate AR balances

Denials & Adjustments

• Post contractual adjustments appropriately

• Flag underpayments, denials, and discrepancies for follow-up

• Work closely with AR and billing teams to resolve issues

Reporting & Support

• Assist in maintaining accurate AR reports

• Support month-end close processes related to cash posting

• Provide insight into trends or recurring payment issues

Systems

• Utilize PointClickCare (PCC) for posting and reconciliation

• Ensure proper documentation and audit trails are maintained

Qualifications

• SNF experience preferred (strongly encouraged)

• 2–4+ years of cash posting or payment posting experience in healthcare

• Familiarity with Medicare, Medicaid, and insurance remittance processes

• Experience with PointClickCare (PCC) preferred

• Strong attention to detail and accuracy

• Ability to manage high-volume work efficiently